| Alegis Care Services Llc | |
|
8888 E Raintree Dr Ste 300 Scottsdale AZ 85260-3968 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Alegis Care Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 8888 E Raintree Dr Ste 300, Scottsdale, Arizona |
| Authorized Official Name and Position | Grace 1992259295 Blue (CREDENTIALING SR. MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegis Care Services Llc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Alegis Care Services Llc 8888 E Raintree Dr Ste 300 Scottsdale AZ 85260-3968 Ph: (773) 292-4800 |
| NPI Number | 1992259295 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 3678840519 |
|---|---|
| Medicare Enrollment ID | O20170525001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992259295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mohammad Ali N Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700866928 PECOS PAC ID: 9739173717 Enrollment ID: I20040413000274 |
| Provider Name | Elisabeth Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356618748 PECOS PAC ID: 4789828526 Enrollment ID: I20181112000800 |
| Provider Name | Kristen Elizabeth Reiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528638418 PECOS PAC ID: 4385046341 Enrollment ID: I20210713002562 |
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